Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Adekunle Adefeyisan, MD

Individual provider Anesthesiology Physician · NPI 1568673556

Samuel Adekunle Adefeyisan, MD is an Anesthesiology in Grand Prairie, Texas. Qualified in 1986, 40 years ago. Practices with Hospitalist Medicine Physicians of Georgia - Tcs, PC, a 111-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama, Georgia and South Carolina.

Years since qualifying
40
Licensed in
AL, GA, SC
In the registry since
2007
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4314 Clayton St
Grand Prairie, TX 75052-3433
Phone: (214) 708-9590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7 Independence Pt Ste 300, Greenville, SC 29615-4569 — (864) 522-3700
  • 1325 Spring St, Greenwood, SC 29646-3860 — (864) 725-4111

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 062934 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD.29707 (AL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 83699 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 062934 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence MD.2009 (AL)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 062934 (GA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence MD.29707 (AL)

Record details

NPI number1568673556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Hospitalist Medicine Physicians Of Georgia - Tcs, Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Prairie